What should you know about muscle cramps in ribs?

The spasm may feel like a hard knot, sharp catch or brief pulling pain along the ribs. It can follow coughing, lifting, twisting, exercise or sitting in one position. Dehydration and changes in minerals can make muscles more irritable. A muscle strain can also cause soreness that lasts after the spasm settles. Rib pain is not always muscular, so note whether breathing, movement or touch changes it and whether there is an injury.

Stop the activity and breathe slowly without forcing a deep breath. Gently lengthen the side of the chest by raising the arm on the affected side, then relax; stop if pain increases. A warm pack may loosen a tight muscle, while a cool pack can help after a recent strain. Sip fluids if you may be dehydrated. Avoid forceful massage or strenuous twisting until ordinary movement is comfortable.

Get urgent help for chest pressure, severe or worsening pain, breathlessness, faintness, sweating, blue lips, coughing blood or pain spreading to the arm, jaw or back. Arrange a clinical review if cramps recur, follow an injury, limit breathing, or come with fever, weakness or swelling. A clinician may review medicines, hydration, muscle function and other causes of chest-wall pain.

Could this be a chest-wall strain or another cause? Should any medicine or supplement be reviewed? What activity and stretching are suitable while it heals?